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dealing with how it is


swilkinson

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Ray has pneumonia again. I don't think he actually gets over one chest infection before starting another. He aspirates food into his lungs all the time so sets up bacterial infections in his lungs. Antibiotics work on the side effects eg pneumonia but you cannot vacuum out what is left of the infection in the lungs and start again. So the next cycle of infection begins.

 

This means I have spent a lot of time with Ray the past week, longer hours as I go earlier to sort out what is happening with the nursing, stay to feed him lunch, stay to watch him until he goes to sleep. Ray was only out in the sun twice last week. I didn't visit Monday or Tuesday as I had another attack of the runny nose virus, we were outside on Wednesday then he spent Thursday in bed tired out and Friday he started with a fever again. He will probably be in bed for the next few days. I know he is seriously ill now. Yesterday and today he did not finish his lunch, today he got only half way through the main meal and closed his eys and refused to open them. I couldn't even tempt him to try the sweets, I know when he does this things are pretty serious.

 

If the staff think he is becoming dehydrated they will send him to hospital. I prefer not to go down that route but I know they have legal obligations. I don't want them to come under any kind of legal cloud. On the whole the staff have been very good to Ray and kind to me so I want to spare them anything which might be too tough for them to handle. I want Ray to pass away there when the time comes if it comes in a way where that is possible, hospitals are so clinical that a death can be cold and hard for family members as well. I am not saying Ray is dying, how would I know that? But I am saying he is at this moment seriously ill.

 

In the midst of all this I went to a glorious wedding yesterday. The couple met on the internet, Dave is a stroke survivor, his wife is a wonderful bright, chirpy English lass and they are the best couple I have met in ages. Together they planned the whole wedding, her Mum came from England, they gathered what family they had, invited distant family and friends. Twenty seven of their friends were from the Stroke group WAGS, including the matron-of-honour and her husband who gave the bride away. Anyone who has avoided joining a stroke group please join one, you could be in the same happy position as I was, invited to a wedding.

 

So yesterday morning when I had a "come to see Ray please" call I was devastated as I thought I would not be able to be there. But the nurse on duty rang the emergency doctor who reissued antibiotics, told the nurse to get the local doctor in if she could and so all I had to do was sit by him while they did half hourly observations and then after I had fed him lunch and he was settled they told me to go and enjoy myself. And I did, and there was DANCING! Yeah!

 

This evening Shirley is coming to take me to a lunch in Newcastle, about 1 1/2 hours drive from here. It is for parents who have a son or daughter as an officer in the Salvation Army and it will be the first one I have been to since she became an officer. It is just nice we will be doing a mother and daughter thing. I've told the NH staff I will not be there to feed Ray tomorrow. I am hoping the antibiotics will start to take affect and he will be sitting up in bed smiling when I see him tomorrow night. I can but dream.

 

As you can imagine all of this is a strain on me, I am trying to get through it a day at a time but it is all very emotional and challenging. Do I want him kept alive at any price? Of course not. Do I want him given whatever the doctors deem would be a suitable treatment? Yes I do. To keep someone alive artificially was never an idea Ray or I would contemplate. To allow someone to die in pain is not our idea either. I guess what I want is for Ray to die with dignity and I want that for myself too.

 

I am not making a big fuss about what is happening,my kids know, that is all. This journey has been so long that Ray's family are no longer interested in what is happening to him on a week to week basis. Our friends are supportive but have their own lives, their own troubles. I think I just have to go on living a day at a time and not creating a drama out of life, just coping with it as it happens. A woman at our table at the wedding, also caregiver to a stroke survivor husband summed it up when she said :"Life is pretty tough and we need to appreciate special moments as they come along". That is spot on.

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I am sorry about Ray being sick :( I am glad you were able to go to the wedding though and to your daughters lunch. I love the salvos! wish there was a stroke group in my area as I would like to join one.

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Sue, many stroke survivors are on dysphagia 1, 2, or 3 diets, because they might aspirate on the food if given a normal diet, and get pneumonia. If this is what is causing his pneumonia, why haven't they put him on one of these diets, or is he on one?

 

When Bob came home he was on the last diet (3) before normal, and he could not eat things like:

soup (no mixed content, so soup with be pieces mixed with broth).

no cereal with milk (food pieces mixed with liquid) I could put in the milk, let it sit, then drain.

no rice, little pieces separate in the mouth.

No grapes, because of the skins being different from the inside

 

He could eat things well like:

mashed/baked/ potatoes or pot.salad, spongy mac & cheese, *any casserole*, puddings, scrambled eggs that are tight, not in tiny pieces, baked beans, Chef Boy R Dee mini ravioli, or refried beans with tamales in a can, toasted cheese sandwich, applesauce, meatloaf, v-8 juice.

Bananas

 

Also, no straws.

 

PS - NEVER allow them to eat or drink in a back against the back of the chair position. They need to be slightly forward, to keep it from going down their throat too fast. Bob sometimes sits back in his chair, and chokes everytime. I do keep reminding him, but they do it fast, before you can get your mouth open.

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Sue: I am so sorry. Such a vicious cycle. And, like you, know that fresh air and sunshine is so helpful, but not when he is that sick. It is really too bad that the nursing home is not able to run hydration or IV antibiotics, which is probably what he needs right now. But, honey, you take it one day at a time as best you can. It is so hard to be there and yet, not at times. If he is resting, sleeping and getting his meds, best you can do is sit and read to him as you do. Please do keep in mind, and I know you already know this - just a reminder, he needs fluids. Body can go a long time without food, not so without fluids.

 

Wonderful news about your time with Shirley. That was so important to both of you and I am so pleased you were able to share the time with her. She is one of your rocks and it was so important that you were able to let her be first for a short time.

 

Go easy honey. There is not much I can say to help you. You already know you are in my prayers and please give Ray a big hug and kiss for me. His stroke journey has been so important in our recovery here. I continue to learn from both of you and so pray that he is at some peace and comfortable. Debbie

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Sue, I'm sorry once again for Ray's problems. I would imagine a feeding tube is out of the question unless he is in a hospital. I had a friend, though, with throat cancer, that had a feeding tube and he was feed outside of the hospital. I was on a feeding tube until they knew I could swallow liquids without aspirating. You've both been through so much.God bless you both. Love, Leah

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Thanks friends, only God knows the outcome this time. The antibiotics no longer work so we are not feeding Ray now. He is not taking fluids either. He is barely conscious. Keep praying for us please.

 

Sue.

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Sue you are in my prayers please make sure that you take care of yourself too. We all know how us caregivers are, our love ones first and us second or so down the list but as you have told me many times we are no good if we are drained too. Hugs and prayers to you and Ray

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